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General NPI Number Information
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NPI Number | 1598029076
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Entity Type | Organization
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Legal Business Name | CERTIFIED ALLERGY CONSULTANTS, PC
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 2231 BURDETT AVE
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City | TROY
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State | NY
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Zip | 12180-2447
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Country | US
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Telephone | 518-272-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 8 SOUTHWOODS BLVD
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City | ALBANY
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State | NY
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Zip | 12211-2554
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Country | US
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Telephone | 518-272-1515
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEE ADKINS
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Credential |
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Telephone | 518-429-2643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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